NUR 213 Final Exam Study Guide

Warfarin (Coumadin): Serious side effects and their symptoms hemorrhage, transient thrombocytopenia- symptoms are easy bruising, hematuria, bleeding gums, prolonged bleeding times and increased PT/INR What is Warfarin's antidote? Vitamin K What are some special considerations for patients on warfarin? -important when it comes to trauma because it can increase serious hemorrhage risks and intracranial hemorrhage so VERY important with TBI -avoid foods high in vitamin K as they can interfere with its effectiveness -Patient may be on Lovenox or heparin injections until the Coumadin therapy is effective as it takes 3-5 days to be therapeutic Used as the main treatment for Torsade's de Pointes? Magnesium Sulfate: as it is caused by low magnesium levels Used as the main treatment for SYMPTOMATIC bradycardia? Atropine Sulfate: When should NSAIDs be avoided? Avoid in use with clients that have liver failure due to inability to clot effectively and in long-term use for chronic kidney disease because it damages the kidneys Preferred treatment for when a patient first convert to AFIB/AFLUTTER? synchronized defibrillated cardioversion Used as a second option for cardioversion when patients first convert to AFIB/AFLUTTER- Risks? Adenosine: can cause dysrhythmias and stop the heart- Metronidazole: Serious side effects: Seizures Leukopenia (infection, low white blood cell counts) Peripheral neuropathy (numbness and tingling in the hands and feet) Naloxone is used for what? -Treat respiratory depression and other emergency side effects for narcotics like oxycodone, morphine, and dilaudid -Unintentional injury like poisoning with these substances nurses would prepare to administer this to save their clients life- What is one of the most serous side effects of Naloxone? seizures Methylprednisone: Serious side effects Peptic ulcer (gnawing stomach pain especially between meals) Hypocalcemia (muscle cramping) Osteoporosis (easy bones breaking) Muscle loss (muscle pain, weakness, and wasting)